Organization
NORRIDGE FOOT AND ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J BUSSER DPM (AUTHORIZED OFFICIAL)
(847) 910-1082
Entity
Organization
Contact information
Practice address
7325 W IRVING PARK RD, CHICAGO, IL 60634-3547
(773) 625-2211
(773) 625-2255
Mailing address
7325 W IRVING PARK RD, CHICAGO, IL 60634-3547
(773) 625-2211
(773) 625-2255
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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